Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1536-1538. doi: 10.1007/s11748-020-01305-6. Epub 2020 Feb 7.
The management of a tracheal bronchus in lung transplantation is poorly studied and ill-defined. We report a case of lung transplantation performed using a donor right lung graft with an apical tracheal bronchus and propose a novel anastomosis technique for this procedure. The neo-upper lobe bronchus created by suturing the apical tracheal bronchus and the upper lobe bronchus of the donor was anastomosed to the upper lobe bronchus of the recipient in a double-barrel fashion. A follow-up at 19 months demonstrated no stenosis of the anastomosis. The advantages and potential disadvantages of this procedure are discussed.
气管支气管在肺移植中的处理方法研究甚少且尚未明确。我们报告了一例使用带有尖顶气管支气管的供体右肺进行肺移植的病例，并为此手术提出了一种新的吻合技术。通过缝合尖顶气管支气管和供体上叶支气管来创建新的上叶支气管，并以双筒式将其吻合到受者的上叶支气管。19 个月的随访显示吻合口无狭窄。讨论了该手术的优点和潜在缺点。
